ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 9
Which of the following statement is NOT true about health equity?
Correct Answer: C
Rationale: Health equity aims for fair access (A), reduces disparities (B), involves policy (D) 'ignores social factors' (C) isn't true, addresses them, per WHO. C's neglect fails, making it untrue.
Question 2 of 9
Mr. Gary had one nurse overseeing all his care needs. This is an example of?
Correct Answer: A
Rationale: One nurse overseeing all needs is primary nursing (A) total care, per model. Team (B) shares, disparity (C) inequity, transition (D) moves not nurse-specific. A fits primary's role, making it correct.
Question 3 of 9
Which of the following ethical principles refers to the duty not to harm?
Correct Answer: B
Rationale: Nonmaleficence, meaning 'do no harm,' is a core ethical principle in healthcare, obligating nurses to avoid causing injury, like double-checking medications. Beneficence promotes good, fidelity ensures loyalty, and veracity demands truthfulness. In practice, nonmaleficence guides safety protocols, balancing risks and benefits to protect patients, a foundational duty in ethical decision-making across all care settings.
Question 4 of 9
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:
Correct Answer: C
Rationale: Covering the newborn's eyes with shields during phototherapy prevents retinal damage from bilirubin-breaking light, a critical safety measure in treating physiologic jaundice. Oil-based lotions interfere with light penetration, turning is helpful but secondary, and removal during feedings isn't standard. Nurses prioritize eye protection, ensuring effective therapy while safeguarding vision.
Question 5 of 9
The nurse is caring for a client with a spinal cord injury who is receiving intravenous fluids. Which finding indicates that the client is experiencing fluid overload?
Correct Answer: A
Rationale: Crackles (A) indicate fluid overload in SCI from excess IV fluids entering alveoli. Normal BP (B), pulse (C), or output (D) don't suggest this. A is correct. Rationale: Pulmonary edema from overload requires fluid adjustment, per critical care monitoring, critical in immobile SCI patients.
Question 6 of 9
The nurse is providing care for a client with a newly applied leg cast. To prevent complications with the casted extremity, the nurse should:
Correct Answer: A
Rationale: Checking cast tightness by inserting a finger between cast and skin prevents circulatory compromise in a new leg cast dependent positioning worsens swelling, ice atop the cast is ineffective, and covering delays drying. Nurses assess fit, teaching elevation and monitoring for numbness, ensuring proper healing without vascular issues.
Question 7 of 9
A client sustains a crushing injury of the spinal cord above the level of origin of the phrenic nerve. As a result of this injury, the nurse expects what client response?
Correct Answer: D
Rationale: Injury above the phrenic nerve (C3-C5) causes respiratory paralysis (D) by disrupting diaphragm innervation. Fibrillation (A) or vagus issues (B) aren't direct. Sensation/paralysis (C) is incomplete. D is correct. Rationale: Phrenic nerve loss halts breathing, a primary concern in high spinal injuries, per trauma care.
Question 8 of 9
Hormones secreted by Islets of Langerhans
Correct Answer: C
Rationale: Insulin is produced by the Islets of Langerhans in the pancreas.
Question 9 of 9
A client is identified as having remittent fever. This means that:
Correct Answer: C
Rationale: Remittent fever features temperature spikes and drops above 38°C, fluctuating daily but never normalizing (e.g., 38.5°C to 39.5°C), common in infections like typhoid. Constant temperature above 38°C with little change is sustained fever, not remittent lacking variation. Spikes with normal returns within 24 hours suggest intermittent fever (e.g., malaria). Periods of fever with normal intervals also fit intermittent, not remittent, which stays elevated. Remittent's persistent elevation with swings distinguishes it, aiding nurses in monitoring and reporting patterns, making this the accurate definition for care planning.